Haider Spine Center Medical Group

LBN: Haider Spine Center Medical Group
Haider Spine Center Medical Group is an health care organization with primary practice located at 6276 River Crest Dr , Riverside CA 92507-0754. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is the primary health care specialty. Haider Spine Center Medical Group can be contacted via phone (952) 141-3020, or through Haider, Thomas T via phone (951) 413-0964.

Contact Information

Primary practice address
6276 River Crest Dr Riverside CA 92507-0754
Phone: (952) 141-3020
Fax: (951) 653-5161
Website:
Map and Directions
Authorized official contact:
Name: Haider, Thomas T Doctor of Medicine (MD)
Phone: (951) 413-0964

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 20A8197 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X G61537 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X A107599 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X G81353 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA18101 California

Profile Details

NPI number 1023079183
LBN Legal business name Haider Spine Center Medical Group
DBA Doing business as
Authorized official Haider, Thomas T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2006
Last updated Sep 9th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023079183 NPPES
California Other 1740213594 CHAD SWEETNAM
California MEDICAID GR0086790 CHAD SWEETNAM

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